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Title: Cementoblastoma  
Author: World Heritage Encyclopedia
Language: English
Subject: International Classification of Diseases for Oncology, Cementoblast, Root resorption, List of subjects in Gray's Anatomy: IV. Myology
Publisher: World Heritage Encyclopedia


Classification and external resources
ICD-10 9 ICD-O: 9273/0
DiseasesDB MeSH D002485

Cementoblastoma, or benign cementoblastoma, is a relatively rare benign neoplasm of the cementum of the teeth. It is derived from ectomesenchyme of odontogenic origin.[1] Less than 0.69%–8% of all odontogenic tumors.

Clinical features

Cementoblastoma usually occurs in people under the age of 25, particularly males. It usually involves the permanent mandibular molars or premolars.[2] The involved tooth usually has a vital pulp. It is attached to the tooth root and may cause its resorption, may involve the pulp canal, grows slowly, tends to expand the overlying cortical plates, and, except for the enlargement produced, is usually asymptomatic. This involves the buccal and lingual aspects of the alveolar ridges. But may be associated with diffuse pain and tooth mobility, but the tooth is still vital.

Since a cementoblastoma is a benign neoplasm, it grossly forms a mass of cementum-like tissue as an irregular or round mass attached to the roots of a tooth, usually the permanent mandibular first molar.[2]

Radiographic and clinical features

A cementoblastoma in a radiograph appears as a well-defined, markedly radiopaque mass, with a radiolucent peripheral line, which overlies and obliterates the tooth root. it is described as having a rounded or sunburst appearance. There is usually apparent external resorption of the root where the tumor and the root join. Severe hypercementosis and chronic focal sclerosing osteomyelitis are lesions to consider in the differential diagnosis of this lesion.


Surgical excision of the lesion is done, and depending upon the clinical circumstances, this may or may not involve removal of the involved tooth. With incomplete removal, recurrence is common; some surgeons advocate curettage after extraction to decrease the overall rate of recurrence.[2]

See also


External link

Benign Cementoblastoma: A Case Report, Pyne, BR, et al at

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